A4 flexor pulley injury

Case contributed by Michał Czerny


An amateur climber who felt an abrupt snap in his right 4th finger during fingertip hang move while climbing. Since then suffers mild to moderate discomfort and pain with some restriction in flexion.

Patient Data

Age: 30 years
Gender: Male

Level of middle phalanx


Case Discussion

Direct and indirect signs of total A4 flexor pulley injury of 4th right finger in a patient with a typical mechanism of injury and demographic, which allows this diagnosis to be certain.

In addition, there is a suspected C3 pulley injury with only mild indirect signs.

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